I hereby give permission for my child to go on activities/trips with Webb City Church of the Nazarene (WCC) and release WCC, its staff and sponsors, from responsibility and liability for any injury or illness that my child may sustain during these activities. In the event of an emergency, if I cannot be reached by phone or if there is no time to be reached by phone, I hereby authorize an adult leader, as agent for me, to consent to any medical care deemed necessary by appropriate medical personnel. This would include X-ray examination; medical, dental or surgical diagnosis; treatment; and hospital care advised and supervised by a physician, surgeon or dentist (as appropriate) licensed to practice under the laws of the state where the services are rendered, either at a doctor’s office or in any hospital. I expect to be contacted as soon as possible.
IF FOR ANY REASON THE INFORMATION BELOW CHANGES DURING THE YEAR, PLEASE CONTACT THE CHURCH OFFICE WITH UPDATED INFORMATION.
